Individual provider Active NPI

Ashalatha Kesavankutty Nair, MD

  • Anesthesiology Physician
  • Great Neck, NY
National Provider Identifier
1144322926
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME124143 Issued in FL
Practice address
6 Lodge Rd
Great Neck, NY 11021-3912
Phone
(516) 491-6880
Fax
(516) 482-3512
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M001411 GU
Anesthesiology Physician 207L00000X ME124143 FL Primary

Addresses

Primary practice location

6 Lodge Rd
Great Neck, NY 11021-3912

Mailing address

2655 Collins Ave Apt 911
Miami Beach, FL 33140-4713
Phone (516) 491-6880

Other identifiers 3

IdentifierTypeStateIssuer
8K0201OtherBLUE SHIELD
AN001557OtherWORKERS COMPNO
02208015MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050321000878 NY Practitioner - Anesthesiology 2860383148 Reassigns benefits to 1 organization
I20190408002832 FL Practitioner - Anesthesiology 2860383148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006

4425 Ponce de Leon Blvd
Suite 110
Coral Gables, FL 33146-1842
Phone (305) 446-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME124143FLMDAnesthesiology Physician
M001411GUMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Jan 1, 2013 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Dec 5, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2013 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 5, 2023 Accepting new patients
Anesthesiology Pain Associates PLLC Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

4425 Ponce de Leon Blvd
Ste 110
Coral Gables, FL 33146
Phone (305) 446-4673

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

2645 SW 37th Ave
Ste 400
Miami, FL 33133
Phone (305) 447-0882

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1144322926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 COLLINS AVE APT 911",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404713",
            "telephone_number": "516-491-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LODGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213912",
            "telephone_number": "516-491-6880",
            "fax_number": "516-482-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "ASHALATHA",
        "middle_name": "KESAVANKUTTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GU",
            "license": "M001411",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME124143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8K0201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPNO",
            "identifier": "AN001557",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.